Individual provider Active NPI

Elizabeth Sweetbrass

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1710568803
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104776 Issued in MI
Practice address
401 Hall St SW Ste 112a
Grand Rapids, MI 49503-4988
Phone
(616) 275-4855
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801104776 MI Primary

Addresses

Primary practice location

401 Hall St SW Ste 112a
Grand Rapids, MI 49503-4988

Mailing address

401 Hall St SW Ste 112a
Grand Rapids, MI 49503-4988
Phone (616) 275-4855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630001926 MI Practitioner - Clinical Social Worker 6709287550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Self Mental Health Services, LLC Clinical CurrentSince Jun 1, 2025 Accepting new patients

Locations

401 Hall St SW
Ste 112AB
Grand Rapids, MI 49503
Phone (616) 275-4855

401 Hall St SW
Ste 112A
Grand Rapids, MI 49503
Phone (616) 275-4855

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1710568803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034988",
            "telephone_number": "616-275-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034988",
            "telephone_number": "616-275-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETBRASS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.